STEPHANIE ROSE WYNN NP NPI 1417415761

NPI Information

Stephanie Rose Wynn, NP is a family nurse practitioner in Waukesha, WI with 6 years of experience. Stephanie Rose Wynn, NP NPI is 1417415761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

N26W23977 WATERTOWN RD
WAUKESHA, WI
ZIP 53188-006
Phone: (800) 427-1902

The NPI 1417415761 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/6/2019 and was last updated on 3/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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